Introduction: Foundations of
Clinical Medicine - I
Fall 2014
FCM-I
2
Course distributed in 4 modules, covered in 12 wks
Each module has 2 lectures and 1 lab
Total 9 lectures and 4 labs
Medical history taking:
Professional skills for patient interviewing/ history taking
Effective patient-doctor communication
Maintain patient’s dignity, respect and privacy
Difficult patient encounters
Challenging communication topics
Components of Medical History
3
Identifying Data
Chief Complaint (CC)
History of Present Illness (HPI)
Past Medical History (PMH)
Family History (FH)
Personal and Social History (PSH)
Review of Systems (ROS)
Physical Examination: General & Vitals
Physical Examination: Systemic FCM- II, FCM- III
Laboratory Data
Assessment FCM- IV, FCM- V
Plan
FCM-I Schedule: Lectures and Labs
4
Week Day Date Time Topics: Lecture and Lab
Modules 1 & 2
week 2 Tue 9-Sep 8-9 AM Introduction to the FCM I course
Thur 11-Sep 8-9 AM Lecture1: Professionalism
week 3 Tue 16-Sep 8-9 AM Lecture2: Communication
Thur 18-Sep 8-9 AM Lecture3: Chief complaint and History of present illness
week 4 Thur 25-Sep 8-9 AM Lecture4: Past medical history, Family history
week 5 Tue 30-Sep 2-5 PM Lab1: Professionalism, Communication
Lab2: Medical history taking including Chief complaint, History of
week 6 Tue 7-Oct 2-5 PM present illness, Past medical history, Family history
Module 3
week 7 Thur 16-Oct 8-9 AM Lecture5: Personal & Social history, Sexual history
week 8 Tue 21-Oct 8-9 AM Lecture6: Review of systems
Lab3:Medical history taking: integrated from Chief complaint to
week 9 Tue 28-Oct 2-5 PM Review of systems
Module 4
week 9 Thur 30-Oct 8-9 AM Lecture7: Physical examination: General survey and Vital signs
week 10 Thur 6-Nov 8-9 AM Lecture8: Entire medical history & Final review
week 11 Tue 11-Nov 2-5 PM Lab4: Physical Examination: General survey and Vital signs
week 12 Tue 18-Nov 2-5 PM FCM-I Exam
Module 1
5
Introduction of course:
Overview of course and understand the importance of
integrating basic sciences with clinical skills.
Professionalism:
Demonstrate professionalism and the qualified attitude
necessary to promote and maintain an ethical relationship
Communication:
Properly introduce oneself to a patient
Effective communication
Module 2
6
Chief Complaint/ History of Present Illness:
Collect and describe patient's chief complaint with all
attributes and other relevant information
Past Medical History:
Prior illnesses/ surgeries
Vaccinations, screening tests
Family History:
Known illnesses in family
Module 3
7
Social and Personal History:
Include living arrangements, marital status, occupation, recent
travel, pets
Smoking, alcohol, illicit substance/drug use
Sexual History:
Maintain confidentiality; Explain the importance; To
encourage the patient to be open and direct
Review of Systems:
Systemic enquiry to uncover problems that the patient has
overlooked, particularly in the areas not related to the present
illness
Module 4
8
Physical Examination:
General survey: Apparent state of health, Signs of pain/
distress, Dress, Grooming, Posture, Orientation etc.
Height, Weight, BMI calculation
Vital signs: Pulse/HR, BP, Resp rate, Temp
Entire History and Review:
To be able to collect all relevant information and prepare
medical history write-up
FCM – I Competencies
9
Competencies & Sub- competencies Assessment
Competency #1: PATIENT CARE: Students must be able to provide
patient care that is compassionate, appropriate, and effective for the
treatment of illness and the promotion of health.
(1a) Perform a history, physical examination and basic Oral exam at the end
procedures with competence and sensitivity in order to of the semester
identify clinical problems and assess their urgency
(1e) Document data, assessment, and plans in the patient’s Peer and faculty
record feedbacks in labs
Competency #2: SCIENTIFIC & MEDICAL KNOWLEDGE:
Students must demonstrate knowledge about established and evolving
biomedical, clinical, and associated sciences and application of this
knowledge to the practice of medicine throughout the life cycle.
(2a) Demonstrate knowledge of the scientific and humanistic Final examination
foundations of medicine
FCM – I Competencies (contd.)
10
Competencies & Sub- competencies Assessment
Competency #4: PROFESSIONALISM: Students must demonstrate a
commitment to the highest standards of professional responsibility,
adherence to ethical principles, and sensitivity in all interactions with
patients, families, colleagues, and others with whom physicians must
interact in their professional lives.
(4a) Show compassion in the treatment of patients and respect Peer and faculty
for their privacy, dignity and beliefs feedbacks in labs
(4b) Demonstrate personal integrity, ethical behavior and Peer and faculty
altruism feedbacks in labs
(4c) Exhibit dependability and responsibility Peer and faculty
feedbacks in labs
(4d) Acknowledge and accept the limitations in his or her Discussion with
knowledge and clinical skills peers and faculty
FCM – I Competencies (contd.)
11
Competencies & Sub- competencies Assessment
Competency #5: COMMUNICATION & INTERPERSONAL
SKILLS: Students must display interpersonal and communication skills
that foster effective information exchange and build rapport with
patients, their families, and professional associates.
(5a) Communicate effectively in order to create and maintain Oral exam at the end of
a therapeutic and ethically sound relationship the semester
(5b) Exhibit empathic, respectful and non judgmental Oral exam at the end of
behaviors the semester
(5c) Address sensitive issues with compassion Peer and faculty
feedbacks in labs
Lab schedule
12
FCM-1 lab groups are same as in Anatomy lab.
If group A is attending Anatomy lab in first half
(2.00 to 3.30 pm); group B will attend FCM lab
during that time and then switch at 3.30 pm.
Lab coat with name plate is mandatory.
Also bring few blank pages and a pen.
FCM Faculties
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Dr Snehal Mehta
Dr Charlie HangFu
Feel free to
Dr Kokila Brahmbhatt
communicate
Dr Saurabh
with faculties
Dr Deborah Drake
Dr Pinkesh Rao
Dr Vivek Joshi
Dr Jeevan Divakaran
Dr Vishal Saxena
Textbook: Required
14
Bates’ Guide to Physical
Examination and History Taking
Tenth Edition
Lynn S. Bickley, MD and Peter G.
Szilagyi, MD; LWW; ISBN 978-0-
7817-8058-2
Required for entire
FCM series over all
the 5 semesters
Textbook: Recommended
15
Patient- Centered Interviewing:
An Evidence- based Method
Third Edition
Robert C. Smith, McGraw-Hill
Professional, ISBN 978-
0071760003
Attendance Policy
16
Minimum attendance…
90 % for FCM-I lectures
100% for FCM-I labs
An absence for any reason that brings attendance to below
this minimum will result in administrative withdrawal
(WF) from the course.
Excused absence may be given only with Dean’s approval.
Exam/ Assessment
17
One exam at the end of the course on Nov 18, 2014.
20 questions will be provided 1 month prior to the exam.
Each student will randomly select 3 questions and will be
examined orally by three different faculty members.
Each question is graded separately and the three results will be
averaged for the final course grade.
Grading system:
A grade = 90% and above
B grade = 80 % to 89 %
C grade = 70% to 79 %
F = 69 and below
18
Thank you
